DOI: https://doi.org/10.14710/jai.v0i0.62799

Peribulbar Block for Cataract Surgery in Patient with Nystagmus and Chronic Kidney Disease

1Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Padjadjaran University/ Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

2Department of Anesthesiology, National Eye Center, Cicendo Hospital, Bandung, Indonesia

Received: 23 Mar 2024; Revised: 18 Jun 2024; Accepted: 19 Jun 2024; Available online: 20 Jun 2024; Published: 31 Jul 2024.

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Abstract

Background: Management of presenile cataracts with nystagmus and chronic kidney (CKD) disease is a separate problem in anesthetic procedures. The risk of anesthesia in patients with chronic kidney disease is accumulation of nephrotoxic metabolites, unstable hemodynamic during intraoperative, and fluid overload.

Case: A 43-year-old man with a diagnosis of immature presenile cataract with nystagmus and comorbid CKD was planned for phacoemulsification and intraocular lens. The anesthetic technique used was regional anesthesia with peribulbar block. Site injections in the inferotemporal and medial canthus with local anesthetic drugs levobupivacaine 0.5% 5 ml and lidocaine 2% 3 ml.

Discussion: Combination of peribulbar block and mild sedation provides effective analgesic and anxiolytic effects. Peribulbar blocks in nystagmus besides sensory blocks can also block motoric function so that the position of the eyeball is in center.

Conclusion: The peribulbar blockade anesthetic technique can be considered as an alternative safe anesthetic technique for cataract surgery with nystagmus and CKD.

 

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Phacoemulsification dan Intraocular Lens Under Block Peribulbar in Presenile Cataract with Nystagmus and Chronic Kidney Disease
Subject anesthesia; block peribulbar; chronic kidney disease; nystagmus; regional anesthesia
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Subject anesthesia; block peribulbar; chronic kidney disease; nystagmus; regional anesthesia
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Keywords: anesthesia; block peribulbar; chronic kidney disease; nystagmus; regional anesthesia

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Section: Case Reports
Language : EN
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